Biomedical subjects

Michelle M Bittle

Publications and source records attributed to Michelle M Bittle.

2 recordsLinked to original sources

PubMed2006

Radiological reasoning: incidentally discovered liver mass.

OBJECTIVE: A 49-year-old woman presented to the emergency department after a fall in which she sustained a right subcapital hip fracture. During her hospital stay she developed abdominal pain, and a hypoechoic liver mass was found on sonography. Multiphase CT showed a hepatic mass with brisk arterial phase enhancement, rapid washout on the portal venous phase, and delayed phase hypodensity. The final pathology diagnosis was hepatocellular carcinoma. CONCLUSION: Incidental lesions are frequently discovered during routine radiographic evaluations. Correlation with clinical history and additional confirmatory imaging is essential for appropriate diagnosis and management.

Abdomen, Acute↗

PubMed2005

Radiological reasoning: recurrent right lower quadrant inflammatory mass.

OBJECTIVE: We discuss the case of a 58-year-old woman who presented with right lower quadrant pain and fever. CT showed a right lower quadrant inflammatory mass presumed to be an appendiceal abscess. The patient underwent open drainage of the mass but failed to return for an interval appendectomy. She returned 23 months later with a recurrent right lower quadrant inflammatory mass treated initially with percutaneous drainage followed by interval appendectomy. The final pathologic diagnosis was mucinous cystadenoma with perforation. CONCLUSION: Primary neoplasms of the appendix are uncommon but should be considered in the correct clinical and imaging scenario.

Abscess↗